NPIMap

Organization Active NPI

Occupational Training Center of Burlington County Inc.

Doing business as South Jersey Rehabilitation Center

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1841471505
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00305100 Issued in NJ
Legal business name
OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Doing business as
South Jersey Rehabilitation Center
Practice address
1003 Lincoln Dr W Ste B
Greentree Executive Campus
Marlton, NJ 08053-1532
Phone
(856) 334-8072
Fax
(856) 334-8074
NPI assigned
Nov 21, 2007
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph Bender
Title
Ceo
Phone
(609) 267-6677

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X PT40QA00673900 NJ
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X 46TR00305100 NJ Primary

Addresses

Primary practice location

1003 Lincoln Dr W Ste B
Greentree Executive Campus
Marlton, NJ 08053-1532

Mailing address

130 Hancock Lane
Mount Holly, NJ 08060
Phone (609) 267-6677

Other names 1

  • SOUTH JERSEY REHABILITATION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1003 Lincoln Dr W
Ste B
Marlton, NJ 08053
Phone (856) 334-8072

130 Hancock Ln
Westampton, NJ 08060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1841471505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HANCOCK LANE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-267-6677",
            "fax_number": "609-265-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 LINCOLN DR W STE B",
            "address_2": "GREENTREE EXECUTIVE CAMPUS",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531532",
            "telephone_number": "856-334-8072",
            "fax_number": "856-334-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-6677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA00673900",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00305100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH JERSEY REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.